<!DOCTYPE html>
<html lang="zh-cn">
<head>
<meta charset="utf-8">
<title>车辆大修</title>
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<script type="text/javascript">
            var require = {
                "config": {
                    "site": {
                        "name": "FastAdmin",
                        "cdnurl": "../../../",
                        "version": "1.0.0",
                        "timezone": "Asia/Shanghai",
                        "languages": {
                            "backend": "zh-cn",
                            "frontend": "zh-cn"
                        }
                    },
                    "upload": {
                        "cdnurl": "./",
                        "uploadurl": "data/upload.json",
                        "bucket": "yourbucketname",
                        "maxsize": "10mb",
                        "mimetype": "*",
                        "multipart": {
                            "policy": "eyJidWNrZXQiOiJ5b3VyYnVja2V0bmFtZSIsInNhdmUta2V5IjoiXC91cGxvYWRzXC97eWVhcn17bW9ufXtkYXl9XC97ZmlsZW1kNX17LnN1ZmZpeH0iLCJleHBpcmF0aW9uIjoxNTAwNTI2NTczLCJub3RpZnktdXJsIjoiaHR0cDpcL1wvd3d3LnlvdXJzaXRlLmNvbVwvdXB5dW5cL25vdGlmeSJ9",
                            "signature": "043eaf09c0319b1a9a11d06511bfdc4e",
                            "bucket": "yourbucketname",
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                        "multiple": false
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                    "modulename": "admin",
                    "controllername": "overhaulMaintenanceAdd",
                    "actionname": "edit",
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</head>
<style>
	.labelLeft{
			text-align: right;
			padding-top: 7px;
		}
</style>
<body class="inside-header inside-aside is-dialog">
		<div id="main" role="main">
			<div class="tab-content tab-addtabs">
				<div id="content">
					<div class="row">
						<div class="col-xs-12 col-sm-12 col-md-12 col-lg-12">
							<div class="content">
								<form id="edit-form" class="form-horizontal form-ajax" role="form" data-toggle="validator" method="POST" action="/user">
									<div id="errtips" class="hide"></div>
									<input type="hidden" name="id" />
									<div class="form-group">
										<label class="control-label col-xs-12 col-sm-3">
	                                    	<span class="text-danger">*</span> 车号：
	                                    </label>
										<div class="col-xs-12 col-sm-8 no-padding">
										<select class="form-control">
											<option>11222443</option>
											<option>11244423</option>
											<option>21552443</option>
										</select>
									</div>
									</div>

									<div class="form-group">
										<label class="control-label col-xs-12 col-sm-3">
	                                    	<span class="text-danger">*</span> 设备名称：
	                                    </label>
										<div class="col-xs-12 col-sm-8 no-padding">
											<input type="text" name="driveName" class="form-control" placeholder="请输入设备名称" data-rule="required">
										</div>
									</div>
									<div class="form-group">
										<label class="control-label col-xs-12 col-sm-3">
	                                    	<span class="text-danger">*</span> 规格型号：
	                                    </label>
										<div class="col-xs-12 col-sm-8 no-padding">
											<input type="text" name="driveName" class="form-control" placeholder="请输入规格型号" data-rule="required">
										</div>
									</div>
									   <div class="form-group">
	                                    <label class="control-label col-xs-12 col-sm-3">
	                                    	<span class="text-danger">*</span> 开始日期：
	                                    </label>
	                                    <div class="col-xs-12 col-sm-8 no-padding">
	                                        <div class="input-group">
	                                            <input type="text" id="startDate" name="factoryDate" class="form-control datetimepicker"
	                                                   placeholder="请输入开始日期" data-rule="" data-date-format="yyyy-mm-dd">
	                                            <span class="input-group-addon"><i class="icon-calendar22"></i></span>
	                                        </div>
	                                    </div>
	                                </div>
	                                   <div class="form-group">
	                                    <label class="control-label col-xs-12 col-sm-3">
	                                    	<span class="text-danger">*</span> 完成日期：
	                                    </label>
	                                    <div class="col-xs-12 col-sm-8 no-padding">
	                                        <div class="input-group">
	                                            <input type="text" id="endDate" name="factoryDate" class="form-control datetimepicker"
	                                                   placeholder="请输入完成日期" data-rule="" data-date-format="yyyy-mm-dd">
	                                            <span class="input-group-addon"><i class="icon-calendar22"></i></span>
	                                        </div>
	                                    </div>
	                                </div>
									<div class="form-group">
										<label class="control-label col-xs-12 col-sm-3">
	                                    	<span class="text-danger">*</span> 保养类型：
	                                    </label>
										<div class="col-xs-12 col-sm-8 no-padding">
											<input type="name" name="models" class="form-control" placeholder="请输入保养类型">
										</div>
									</div>
									<div class="form-group">
										<label class="control-label col-xs-12 col-sm-3">
	                                    	<span class="text-danger">*</span> 是否按规格保养：
	                                    </label>
										<div class="col-xs-12 col-sm-8 no-padding">
											<input type="name" name="models" class="form-control" placeholder="请输入是否按规格保养">
										</div>
									</div>
									<div class="form-group">
										<label class="control-label col-xs-12 col-sm-3">
	                                    	<span class="text-danger">*</span> 保养单位：
	                                    </label>
										<div class="col-xs-12 col-sm-8 no-padding">
											<input type="criterionCount" name="maintenanceReasons" class="form-control" placeholder="请输入保养单位">
	                                    </div>
	                                </div>
	
	                                <div class=" form-group ">
	                                    <label class="control-label col-xs-12 col-sm-3 " for="sex ">
	                                    	<span class="text-danger ">*</span> 保养负责人：
	                                    </label>
	                                   <div class="col-xs-12 col-sm-8 no-padding">
										<select class="form-control">
											<option>张三</option>
											<option>李四</option>
											<option>王五</option>
										</select>
									</div>
	                                </div>
	                                
	                                <div class=" form-group ">
	                                    <label class="control-label col-xs-12 col-sm-3 " for="sex ">
	                                    	<span class="text-danger ">*</span> 验收结果：
	                                    </label>
	                                    <div class="col-xs-12 col-sm-8 no-padding ">
	                                         <input type="dept " name="repairSite " class="form-control "
	                                               placeholder="请输入验收结果 ">  
	                                    </div>
	                                </div>
	                                
	                                <div class=" form-group ">
	                                    <label class="control-label col-xs-12 col-sm-3 " for="sex ">
	                                    	<span class="text-danger ">*</span> 验收责任人：
	                                    </label>
	                                    <div class="col-xs-12 col-sm-8 no-padding ">
	                                        <select class="form-control">
												<option>张三</option>
												<option>李四</option>
												<option>王五</option>
											</select>
	                                    </div>
	                                </div>
	                                
	                                <div class="form-group ">
	                                    <label class="control-label col-xs-12 col-sm-3 " for="phone ">
	                                    	<span class="text-danger ">*</span> 备注：
	                                    </label>
	                                    <div class="col-xs-12 col-sm-8 no-padding ">
	                                        <input type="text " name="remark " class="form-control " placeholder="请输入备注 ">
	                                    </div>
	                                </div>
	
                                    <div class="form-group layer-footer ">
                                        <label class="control-label col-xs-12 col-sm-2 "></label>
                                        <div class="col-xs-12 col-sm-8 ">
                                            <button type="submit " class="btn btn-success btn-embossed disabled ">确定</button>
                                            <button type="reset " class="btn btn-default btn-embossed ">重置</button>
                                        </div>
                                    </div>
                                </form>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
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